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Review
. 2016 Jul;25(3):473-87.
doi: 10.1016/j.chc.2016.03.002. Epub 2016 Apr 9.

Opioid Use Disorders

Bikash Sharma  1 , Ann Bruner  2 , Gabrielle Barnett  1 , Marc Fishman  3
Affiliations
Review

Opioid Use Disorders

Bikash Sharma et al. Child Adolesc Psychiatr Clin N Am. 2016 Jul.

Abstract

Opioid use and addiction in adolescents and young adults is a health problem of epidemic proportions, with devastating consequences for youth and their families. Opioid overdose is a life-threatening emergency that should be treated with naloxone, and respiratory support if necessary. Overdose should always be an opportunity to initiate addiction treatment. Detoxification is often a necessary, but never sufficient, component of treatment for OUDs. Treatment for OUDs is effective but treatment capacity is alarmingly limited and under-developed. Emerging consensus supports the incorporation of relapse prevention medications such as buprenorphine and extended release naltrexone into comprehensive psychosocial treatment including counseling and family involvement.

Keywords: Heroin; Injection; Opioid use disorder; Opioids; Overdose; Prescription opioids; Withdrawal.

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Figures

Figure 1
Figure 1. Past year initiation of heroin among individuals aged 12 or older, by age group: 2002 to 2013
From Lipari RN and Hughes A. The NSDUH Report: Trends in Heroin Use in the United States: 2002 to 2013. The CBHSQ Report: April 23, 2015. Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. Rockville, MD; with permission.
See this image and copyright information in PMC

References

    1. Pradip, et al. Associations of Nonmedical Pain Reliever Use and Initiation of Heroin Use in the US. Center for behavioral Health Statistics and Quality Data Review. SAMHSA; 2013.
    1. Subramaniam GA, Stitzer MA. Clinical characteristics of treatment-seeking prescription opioid vs. heroin-using adolescents with opioid use disorder. Drug and Alcohol Dependence. 2009 Apr;101:13–19. - PMC - PubMed
    1. Subramaniam GA, Stitzer MA, Woody G, Fishman MJ, Kolodner K. Clinical Characteristics of Treatment Seeking Adolescents with Opioid versus Cannabis/Alcohol Use Disorders. Drug Alcohol Depend. 2009 Jan 1;99(1-3):141–149. - PMC - PubMed
    1. Mills KL, Teesson M, Darke S, Ross J, et al. Young people with heroin dependence: Findings from the Australian Treatment Outcome Study (ATOS) Journal of Substance Abuse Treatment. 2004;27:67–73. - PubMed
    1. Uhl GR, Grow RW. The burden of complex genetics in brain disorders. Arch Gen Psychiatry. 2004 Mar;61(3):223–9. - PubMed

MeSH terms

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